NPIMap

Organization Active NPI

Bella Vita Healthcare, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Reno, NV
National Provider Identifier
1851069033
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
BELLA VITA HEALTHCARE, LLC
Practice address
3680 Grant Dr Ste a
Reno, NV 89509-5369
Phone
(775) 360-6888
Fax
(775) 360-6885
NPI assigned
Sep 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roxanne R. LopezNPI 1902526759
Title
Hospice Care Manager
Phone
(775) 360-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

3680 Grant Dr Ste a
Reno, NV 89509-5369

Mailing address

3680 Grant Dr Ste a
Reno, NV 89509-5369
Phone (775) 360-6888

Other names 1

  • OASIS HOSPICE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220510001902 NV Part A Provider - Hospice 1557748720 Practice locations: Reno, NV

Hospice certification: CCN 291670

Legal name
BELLA VITA HEALTHCARE, LLC
Doing business as
OASIS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 27, 2023
Last certification
Jul 27, 2023
Organization structure
LLCProprietary
Incorporated
May 21, 2020 in NV
Enrollment address
3680 Grant Dr
Ste a
Reno, NV 89509-5369

Care Compare: Hospice

Medicare Care Compare
Listed as
Oasis HospiceCCN 291670
Certified
Jul 27, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3680 Grant Dr
Ste A
Reno, NV 89509
Phone (755) 360-6888

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Monette Wilday Individual 5% Or Greater Direct Ownership Interest Aug 1, 2019 100%
Corporate OfficerAdministrator Mar 1, 2023 100%
Corporate DirectorAdministrator Mar 1, 2023 100%
W-2 Managing EmployeeCeo, Monette Wilday and Roxanne Mar 1, 2023 100%
Operational/Managerial ControlCeo, Monette Wilday and Roxanne Mar 1, 2023 100%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1851069033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 GRANT DR STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095369",
            "telephone_number": "775-360-6888",
            "fax_number": "775-360-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 GRANT DR STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095369",
            "telephone_number": "775-360-6888",
            "fax_number": "775-360-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VITA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "HOSPICE CARE MANAGER",
        "authorized_official_telephone_number": "775-360-6888"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OASIS HOSPICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.